UNC-Chapel Hill Physical Medicine & Rehabilitation Residency Program

UNC-Chapel HillUNC-Chapel HillPhysical Medicine & Physical Medicine &

RehabilitationRehabilitation

Residency ProgramResidency Program

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UNC HospitalsUNC Hospitals

MemorialHospital

Children’s Hospital

Women’sHospital

NeuroscienceHospital

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UNC HospitalsUNC Hospitals

• Level One Trauma Center

• 708 Beds» Memorial Hospital, Children’s Hospital,

Women’s Hospital, and Neuroscience Hospital

• Cancer Hospital under construction

» Plans for further expansion in the coming years

• 17 Clinical Departments

• Over 1,000 Physician Faculty

Department of Physical Medicine Department of Physical Medicine & Rehabilitation at UNC-CH& Rehabilitation at UNC-CH

• Mission» To optimize health and function

through excellence in rehabilitation

• Vision» UNC-CH Department of PM&R will be

an internationally recognized leader in rehabilitation medicine by year 2015.

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Department of Physical Department of Physical Medicine & Rehabilitation at Medicine & Rehabilitation at

UNC-CHUNC-CH• Academic department established

in 1993

• Residency established 1999» Full accreditation 8/2006 » Next Site Visit 8/2009

• Clinical:» 30-bed Inpatient Rehabilitation Center

• CARF accredited Rehab program» Full range of outpatient clinics

• Research

UNC Rehab CenterUNC Rehab Center

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Outpatient servicesOutpatient services

• Adult PM&R and specialty clinics» TBI» SCI» Stroke » Musculoskeletal» Spasticity Clinic» Amputee Clinic» Spine Clinic & Spine Injection Services» Geriatric Rehab Clinic» Wound Clinic» Lymphedema Clinic

• EMG/NCS

Outpatient servicesOutpatient services

• Pediatric PM&R and specialty clinics» Cerebral Palsy» Spina Bifida» General Pediatric Rehab» Telemedicine

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Outpatient visits FY 95-06Outpatient visits FY 95-06

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Years

FY 1995

FY 1996

FY 1997

FY 1998

FY 1999

FY 2000

FY 2001

FY 2002

FY 2003

FY 2004

FY 2005

FY 2006

FacultyFaculty

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UNC-CH FacultyUNC-CH Faculty

• 9 M.D. faculty at UNC-CH

• 4 Ph.D. faculty at UNC-CH

• Adjunct faculty» Charlotte» Winston-Salem» Raleigh» Fayetteville

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Michael Lee, M.D., M.H.A.Michael Lee, M.D., M.H.A.• Professor & Chair• Residency Program Director

• Clinical Interests» SCI rehab» EMG/NCS» Wound care» Amputee » Interventional procedures

• Residency: Northwestern University/RIC

• Contact info-- mylee@med.unc.edu; 919-966-5164

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Joshua Alexander, M.DJoshua Alexander, M.D• Associate Professor

• Clinical Interests» Pediatric Rehab» Telemedicine» Spina Bifida» Cerebral Palsy» Spasticity Management» Basketball Medicine

• Pediatric/PM&R Residency: Baylor College of Medicine Houston,Texas

George Atkinson, M.D.George Atkinson, M.D.• Assistant Professor

• Clinical Interests» Cancer Rehab» Musculoskeletal

medicine» General Rehab» Stroke Rehab» Lymphedema

Management

• Medical School—Baylor College of Medicine

• Residency—University of North Carolina at Chapel Hill

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Susan Gaylord, Ph.D.Susan Gaylord, Ph.D.

• Assistant Professor

• Interests» Integrative Medicine» Geriatrics» Mind-body

interactions» Mindfulness program

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Patricia Gregory, M.D.Patricia Gregory, M.D.

• Assistant Professor

• Clinical Interests» Geriatric Rehab» Stroke Rehab

• Residency: Long Island Jewish

• Fellowship: Johns Hopkins

Andrew Lynch, M.D.

• Assistant Professor » Physical Medicine and

Rehabilitation» Orthopaedics

• UNC Athletics Spine Consultant

• Clinical Interests:» General MSK Medicine» Non-op Sports Medicine with

emphasis on Overuse Syndromes

» Interventional Spine» Electrodiagnostics

• Residency: University of Virginia

• Fellowship: Interventional Spine» Triangle Orthopaedic

Associates, Durham, NC

Vera Lucia Moura, M.D.• Instructor in the Program

on Integrative Medicine

• Interests in Education and Research:» Integrative Medicine» Mind-Body Medicine» Ancient Methods of

Healing

• Fellowship Training:» University of Bahia,

Brazil» University of Michigan

Cara O’Connell-Edwards, Ph.D.Cara O’Connell-Edwards, Ph.D.

• Assistant Professor

• Clinical Interests:» Rehabilitation and

Health Psychology• Pain Management• Coping skills for

patients with chronic illness and disabilities

• Substance Abuse

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Jongbae Park, KMD, Ph.D.

• Assistant Professor

• Clinical interests » Acupuncture clinic

• Research interests» Rehabilitation outcome research» Low back pain» Cancer Rehabilitation» Acupuncture mechanism

(developer of Park Sham Device)

» Research method (www.blinding index.org )

» Associate Editor, Complementary Therapies in Medicine (Elsevier) & Editorial Board of 3 journals

Paul Thananopavarn, M.D.• Assistant Professor

» Physical Medicine and Rehabilitation

» Internal Medicine

• Clinical Interests:» Rehabilitation of

Medically Complex patients

» Cancer Rehab» Acupuncture» Wound Care» Post-Acute Health Care

Systems

• Residency: Combined PM&R and Internal Medicine Residency at East Carolina University; Greenville, NC

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Karla Thompson, Ph.D.Karla Thompson, Ph.D.

• Assistant Professor

• Clinical Interests» Neuropsychology» Traumatic Brain

Injury

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Heather Walker, M.D.Heather Walker, M.D.• Assistant Professor• Associate Residency

Program Director

• Clinical Interests: » Spinal Cord Injury Rehab» Brain Injury Rehab » Spasticity Management

• Residency: University of Pittsburgh Medical Center

• Fellowship: Spinal Cord Injury Medicine» Kessler Institute for

Rehabilitation

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Tanya Zinner, M.D.Tanya Zinner, M.D.

• Assistant Professor

• Clinical Interests» Neurorehabilitation» Subacute

Rehabilitation» Rehab continuum of

care

• Residency: New England Medical Center, Boston, MA

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Faculty Research Projects… Faculty Research Projects…

• NIH Mindfulness program for IBS patients

• NIH Craniosacral therapy for patients with headache

• NIH T32 Fellowship training grant in integrative medicine

• Rex Endowment grant on Telability for Children with Disability

Faculty Research Projects…Faculty Research Projects…

• Effect of blinding on the outcome of clinical trials

• Pragmatic, randomized controlled trial for integrative package for low back pain

• Safety profile of herbal medicine, i.e.. drug induced liver toxicity

• Effect of CRP, ESR on the recovery pattern of low back pain

PGY2—PGY4 Residents 2008

PGY1 Residents 2008

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PGY-4PGY-4• Julia Bryson, MD

Medical School: Oregon Health Sciences University Internship: Transitional Year- UNC-Chapel Hill jebryson@unch.unc.edu

• Jason De Luca, MD Medical School: State University of New York at Syracuse Internship: Transitional Year- UNC-Chapel Hill jdeluca@unch.unc.edu

• Madhu Mehta, MDChief Resident

• Medical School: University of Alabama Internship: Transitional Year- UNC-Chapel Hill mmehta@unch.unc.edu

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PGY-3PGY-3• Christie Campbell, DO

Medical School: Nova Southeastern University College of Osteopathic MedicineInternship: New York College of Osteopathic Medicine, Union Hospital

cecampbe@unch.unc.edu

• Wesley Ibazebo, MD Medical School: University of Texas Medical School at Galveston Internship: Transitional Year- UNC-Chapel Hill wibazebo@unch.unc.edu

• Theresa Kent, MDMedical School: Marshall University School of MedicineInternship: Transitional Year- UNC-Chapel Hill tkent@unch.unc.edu

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PGY-2PGY-2• Justin Scruggs, MD

Medical School: Medical University of South Carolina College of MedicineUndergraduate: The Citadel, Charleston, SCjscruggs@unch.unc.edu

• Elizabeth Gersuk, DOMedical School: Edward Via Virginia College of Osteopathic Medicine Undergraduate: Baylor University, Waco, Texasegersuk@unch.unc.ed

u

• Hannah Messer, MD Medical School: Medical University of South Carolina College of MedicineUndergraduate: Samford University, Birmingham, Alabamahmesser@unch.unc.edu

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PGY-1PGY-1• Chris Bonson, MD

Medical School: Tulane UniversityUndergraduate: Standford University

cbonzon@unch.unc.edu

• Will Filer, MDMedical School: Saint Louis School of MedicineUndergraduate: University of Washington

wfiler@unch.unc.edu

• Brooke Morgan Medical School: University of North Carolina at Chapel HillUndergraduate: Spelman College

bmorgan@unch.unc.edu

Life Outside of Residency…

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Life After Residency…Life After Residency…

• Fellowships» University of

Washington» UNC-CH» Cornell» Boston» Yale» U. Miami» NC--Spine fellowship» U. Michigan» Mayo Clinic, AZ» Phoenix-Sports &

Interventional Spine » Winston Salem

Interventional Spine» Cedars-Sinai Spine

Fellowship

• Academics» Emory» Miami» UNC-CH» Yale

• VA» Durham VA

• Private practice» VA, TN, NC, MD,

HI, CA, TX

• Military» HI

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Residency TrainingResidency Training

• National Residency Matching Program

• NRMP for 2009» 3 PGY-1 to start June 24, 2009

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Goals of TrainingGoals of Training

• Provide excellent, comprehensive PM&R services in a humanistic manner

• Conduct research in the field of PM&R

• Educate others on the importance of rehabilitative care» Residents, medical students, other

health professionals, patients, and families

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Current Rotation ScheduleCurrent Rotation Schedule

• PGY-I» 6 months Internal

Medicine» 1 month

Neurosurgery» 1 month

Neurology» 1 month

Plastic/Burn Clinic» 1 month Trauma» 1 month ER» 1 month PM&R

• PGY-II» 4 months clinics» 4 months

Inpatient SCI and TBI rehab

» 4 months Inpatient Amputee and General Rehab

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Current Rotation ScheduleCurrent Rotation Schedule

• PGY-III» 4 months

EMG/NCS» 4 months

Pediatric Rehab—Outpatients, consults

» 1 month inpatient Subacute Rehab

» 3 months Clinics

• PGY-IV» 2 months

EMG/NCS» 2 months

Electives» 1 month Research» 4 months

Inpatient Stroke and Orthopedic Rehab

» 1 month Outpatient Cardiac rehab, Geriatrics

» 2 months PM&R Clinics

Typical Adult Outpatient Schedule

Mon Tues Wed Thurs Fri

AM MSK MSK Didactics MSK or Amputee

Study Time

PM MSK Procedures MSK or Pain

Procedures Procedures

Mon Tues Wed Thurs Fri

AM Neuro Rehab or Geri

Neuro Rehab or MSK

Didactics General or Lymphedema

Neuro Rehab or General

PM Geri Geri General/MSK MSK Procedures

Senior Clinic:

Junior Clinic:

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DidacticsDidactics• Didactic Lecture Series

» 18 month Schedule» Faculty & Residents from PM&R and

other departments• Clinical teaching

» Bedside » Structured lectures

• EMG Lecture series» Twice monthly, year round

• Grand Rounds» Once-twice monthly

• Self Assessment Exam (SAE)• Board review

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DidacticsDidactics• Morbidity and Mortality

» Peer Review conference• Journal Club

» Monthly• Case Presentations• Optional Conferences

» Neurourology» Neuroradiology

• Medical Student Presentations• Resident Research Presentations

Typical Didactic Schedule

Monday Tuesday Wednesday Thursday Friday

•EMG lecture•PMR lectures—2 h

•Board review

•Neuroradiology •Grand rounds•PMR lectures—2 h

•Board review

•Journal Club •EMG lecture•PMR lectures—2 h

•EMG case conference•Board review

•Anatomy lab •Case Presentation•Morbidity & Mortality•PMR lectures—2 h

•Board review

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Resident Lecture SeriesResident Lecture Series• Introduction to Rehab—4 weeks (repeated yearly)

• Neurorehabilitation (Stroke, TBI)—7 weeks• Geriatric Rehab—4 weeks• Professionalism and communications—2 weeks• Modalities—3 weeks• Research—2 weeks• Business Module—3 weeks• Prosthetics and Orthotics—8 weeks• Cardiac and Pulmonary Rehab—4 weeks• Musculoskeletal, Joint, Connective Tissue, Burn—

11 weeks• Integrative Medicine—2 weeks• Pediatric Rehab—5 weeks• Spinal Cord Injury Rehab—8 weeks• Pain Management—4 weeks

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Resident Salary Range—2008 Resident Salary Range—2008

• PGY-I $44,720• PGY-II $46,280• PGY-III $47,320• PGY-IV $48,360

• Direct payroll deposit• Paid monthly

Benefits…

• Vacation» 2 weeks per year» 1 week at winter holiday

• Professional & Educational Leave» Conferences» Interviews

• Sick Leave» 5 days per year

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Benefits…Benefits…

• Family and medical leave• Health insurance paid for by

hospital• Insurance costs for

dependent coverage are shared

• Optional dental plan• Optional additional plans• Gym and pool privileges at

minimal cost

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LibraryLibrary

• 80,000 sq ft• 140 workstations• Media rooms• On line data bases

» Up to date» Pub Med» On line Journals» Mircomedex

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Duty Hours and CallDuty Hours and Call

• 7:30 a.m. to 5 p.m. on average

• PGY-1: Call in-house or home call, varies per rotation

• PGY-2-4: Call every fourth week for 7 days, non-in-house call, 15-20 min. drive in

Electronic Medical Record

• WEBCIS» Available in hospital and from home

» Dictated and typed notes

» Labs

» Radiology/EKG• Online viewing of images and reports

» Phone message system

• CPOE» Electronic physician order entry

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Program RequirementsProgram Requirements

• Four years of residency

• Inpatient rotation—12 months

• Outpatient adult clinics—10 months

• Elective time—2 months

• Outpatient Pediatric rehab rotation—4 months

• EMG/NCS—6 months

• Research requirements—1 month research block

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Evaluation and SupportEvaluation and Support• Faculty supervisor and resident

evaluations at the end of each rotation» Electronic evaluations

• Six-month review with program director

• End-of-year review with Chair and program director

• SAE, Mock oral, 360 evaluation

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Rules of the GameRules of the Game

• MDs, DOs, and IMGs who are ECFMG certified are eligible for consideration

• UNC-CH abides by the rules of the NRMP & ACGME

• We will not provide you with information about the probability of being ranked

• No offers will be made outside the match

• No pre-match employment for positions offered through the match

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WebsitesWebsites

• http://www.med.unc.edu• http://www.unchealthcare.org• http://www.med.unc.edu/residency• http://www.med.unc.edu/phyrehab• http://www.unchealthcare.org/site/gme

UNC UNC HospitalsHospitals

Thank you!Thank you!